Provider Demographics
NPI:1649368598
Name:MARWIN-FINN, LISA (RDN, CDN, CDCES)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:MARWIN-FINN
Suffix:
Gender:F
Credentials:RDN, CDN, CDCES
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:MARWIN-FINN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RDN, CDN, CDCES
Mailing Address - Street 1:20 GERMANTOWN RD STE 2
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-5024
Mailing Address - Country:US
Mailing Address - Phone:203-739-4980
Mailing Address - Fax:
Practice Address - Street 1:20 GERMANTOWN RD STE 2
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-5024
Practice Address - Country:US
Practice Address - Phone:203-739-4980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000279133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered